183638 03/25/2010 CITY OF CARMEL, INDIANA VENDOR: 359478 Page 1 of 1
ONE CIVIC SQUARE HILLYARD INDIANA
�o CARMEL, INDIANA 46032 P 0 BOX 872361 CHECK AMOUNT: $45.55
f KANSAS CITY MO 64187 -2361
CHECK NUMBER: 183638
CHECK DATE: 3125/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 6233959 45.55 OTHER MAINT SUPPLIES
1 a 1
1 L YA R D Please Note New Remit A ddress CUSTOMER COPY
q Q n qRR�� Remit To:
d Li Li U HILL YARD /JNDIANA
M CLEAMG RESOURCE P. Box: 872361
Plant: 1350 Kansas City MO 64187-2361 Invoice
Phone: 765 378 3766
Fax.- 765 378 6671
www.hiliVard.com
Ship MONON CENTER AT CENTRAL PARK
To 1135 CENTRAL PARK DRIVE WEST jnfor
J .m 1
0 04:00,
CARMEL IN 46032 Customer Number: 272994
Invoice Number 6233959
Invoice Date 03/0912010
Bill THE MONON CENTER Purchase Order No. 23203
To 141 EAST 116TH STREET
CARMEL IN 46032-3455 Packing List Number 83216496
Sales Order Number 21075290
Payment Terms Net due in 30 days
Page 1 of 1
v X
ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
oolo PTM100143 1 EA 45.01 45.01
TOOL FLOOR FELT BRUSH 14 IN
Subtotal 45,01
Shipping 0.54
Purchase Tax Amount 0.00
Description LLidy j L 1 .a�
P•O• P or F Gross Price 45.55
G.L#.
Budget
Una Descr
Purchaser Date
Approval-- Date—_
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
359478 Hillyard Terms
P.O. Box 872361
Kansas City, MO 64187 -2361
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
319110 6233959 Janitorial supplies 23203 45.55
Total 45.55
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
359478 »illyard Allowed 20
P.O. Box 872361
Kansas City, MO 64187 -2361
In Sum of
45.55
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 6233959 4238900 45.55 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
25 -Mar 2010
Signature
45.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund